institution
Lars Bergeson, Md, Pc
Health Service Clinic/Center in Providence, Utah
NPI 1336335884

Lars Bergeson, Md, Pc is a Health Service Clinic/Center based in Providence, UT and is specialized in Health Service. Lars Bergeson, Md, Pc practices in Providence, UT. The NPI Number for Lars Bergeson, Md, Pc is 1336335884 and holds a License No. 170371-1205 (Utah).

The current practice location address for Lars Bergeson, Md, Pc is 382 N 280 W, Providence, UT and can be reached out via phone at 435-752-0330 and via fax at 435-755-0922.

Location: 382 N 280 W, Providence, UT, 84332-0609
institution
Provider Profile Details
NPI Number
1336335884
Provider Name
Lars Bergeson, Md, Pc
Credential
Provider Entity Type
Organization
Address
382 N 280 W, Providence, UT, 84332-0609
Phone Number
435-752-0330
Fax Number
435-755-0922
Provider Enumeration Date
09/19/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
382 N 280 W
City
State
Zip
84332-0609
Phone Number
435-752-0330
Fax Number
435-755-0922
person
Provider Business Mailing Address Details
Address
382 N 280 W
City
State
Zip
84332-0609
Phone Number
435-752-0330
Fax Number
435-755-0922
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
License No.
170371-1205 (Utah)
Definition
Definition to come...
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